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Individual

DR. JACOB LEONARD CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5673 147TH ST N, HUGO, MN 55038-9302
(651) 429-9010
(651) 429-2574
Mailing address
5673 147TH ST N, PO BOX 457, HUGO, MN 55038-9302
(651) 429-9010
(651) 429-2574

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5250
MN

Other

Enumeration date
08/03/2009
Last updated
08/03/2009
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